Rogers, Kenneth
Rogers, Kenneth is an sole proprietor health care provider with primary practice located at 122 Bow St Ste A , Fayetteville NC 28301-2308. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Rogers, Kenneth can be contacted via phone (919) 675-6549.Contact Information
Primary practice address
122 Bow St Ste A
Fayetteville NC 28301-2308
Phone: (919) 675-6549
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 2015213901 | North Carolina |
Profile Details
| NPI number | 1528458072 |
|---|---|
| LBN Legal business name | Rogers, Kenneth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 4th, 2015 |
| Last updated | Feb 4th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528458072 | NPPES |
| North Carolina | Other | 51144 | DWI FACILITY CODE |
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